Individual
DR. JOHN S KASHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4947
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
25MB07923700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085049
—
NJ
01
—
300931
AMERIGROUP
NJ
01
—
4798452
GHI
NJ
01
—
60022832
HORIZON NJ HEALTH
NJ
01
—
91001952800
AMERICHOICE
NJ
Enumeration date
01/24/2007
Last updated
09/04/2008
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